Steven D. Sederholm, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY454 Issued in FL

Practice address

11135 S Jog Rd
Suite #2
Boynton Beach, FL 33437-1807

Phone

(561) 734-5969

Fax

(561) 734-3935

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1235139882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 S JOG RD",
            "address_2": "SUITE #2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371807",
            "telephone_number": "561-734-5969",
            "fax_number": "561-734-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 S JOG RD",
            "address_2": "SUITE #2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371807",
            "telephone_number": "561-734-5969",
            "fax_number": "561-734-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDERHOLM",
        "first_name": "STEVEN",
        "middle_name": "D.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.